Organization
GHASSEM VAKILI, M.D. P.A
Active
Other names
Ghassem Vakili, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSEM VAKILI MD (PRESIDENT)
(302) 738-3540
Entity
Organization
Contact information
Practice address
314 E MAIN ST, SUITE 406, NEWARK, DE 19711-7128
(302) 738-0555
(302) 738-0810
Mailing address
314 E MAIN ST, SUITE 406, NEWARK, DE 19711-7128
(302) 738-0555
(302) 738-0810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C10000915
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47159
MEDICARE
DE
Enumeration date
05/24/2013
Last updated
05/24/2013
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